Organization
ANDREW JAMES STEIN M D
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA D COBB (OFFICE SUPERVISOR/BILLER)
(510) 297-0550
Entity
Organization
Contact information
Practice address
13690 E 14TH ST, SUITE # 200, SAN LEANDRO, CA 94578-2582
(510) 297-0550
(510) 297-0558
Mailing address
13690 E 14TH ST, SUITE # 200, SAN LEANDRO, CA 94578-2582
(510) 297-0550
(510) 297-0558
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G75352
CA
225XH1200X
Hand Occupational Therapist
OT 2257
CA
225XH1200X
Hand Occupational Therapist
OT 2258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G753520
BLUECOSS OF CA PROVIDER #
CA
01
—
4407354
AETNA PROVIDER #
CA
01
—
ZZZ04834Z
BLUESHIELD OF CA PROVIDER
CA
Enumeration date
01/30/2006
Last updated
07/22/2015
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